Teams at Recourse Health

Design and maintain ingestion pipelines for 835/837 and scanned EOBs: OCR, LLM-assisted extraction, integrations (SFTP, clearinghouses), data modeling, validation, and reconciliation to produce deterministic, trustworthy healthcare records.

Analyze dispute outcomes and claims data to build payer profiles, model offer strategies, run loss analysis, benchmark versus CMS data, and convert insights into automated product rules and team dashboards.

Own end-to-end federal IDR disputes: determine eligibility, prepare CMS submissions, track deadlines, handle payer correspondence, read 835/EOBs to reconstruct payments, and convert recurring patterns into specs, SQL queries, checklists, and AI-assisted tooling to automate routine work.